Individual
MRS. KATHRYN MARIE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
194 THAYER RD, HIGGANUM, CT 06441-4025
(860) 919-7639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5456
CT
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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